Comparison of analgesic efficacy of diclofenac suppository with intramuscular diclofenac sodium in post-operative pain relief after cesarean delivery in the first 24 hours

Background
 About 80% of the patients experience enough post-operative pain to require analgesia. Adequate relief is needed after caesarean section assist ambulation , mother / baby bonding & above all, a pleasant being mother. Different analgesics with various routes administrations are available for which include opioids and NSAIDS. Opiods known their undesireable side effects . Diclofenac sodium an NSAID acts via blocking prostaglandin production. The WHO recommends diclofenac as first line drug in relief. It preparations injections, tablets suppositories.
 We compared mean experienced by women use suppositories intramuscular elective cesarean 24 hours.
 Methodology
 This RCT was done department Obstetrics Gynecology, --removed blind review---from 1st March 2018 till 30th August 2018. Total 100 antenatal already planned ,who fulfilled inclusion criteria were selected taking informed consent ethical approval employing non probability consecutive sampling age parity ,gestational age, weight ,BMI ASA status all documented. 50 randomly assigned each group A B. Group given 75 mg injection immediately then 8 hrly hrs while B rectal suppository 12 post hrs. if ,50 tramadol I/V rescue analgesia, Visual analogue (VAS) score used assess intensity operative poltted proforma. number needing analgesia also between two groups.
 RESULTS:
 Data analyzed on SPSS version 23. In A; 26.34 years STD 3.69. Mean gestational 37.82 weeks 1.79. B; 25.3 3.47. 37.70 1.59. 84.62 kgs 5.76 BMI 32.18 3.16. 84.84 7.27 31.13 3.57. (intramuscular diclofenic group) 3.72 0.57. (Diclofenic Suppository Group) 1.84 0.68. P-value significant. 26 (52%) (I/M 20 (40%) (rectal Tramadol .P value not significant.
 
 CONCLUSION:
 Dicolofenac effective analgesic Rectal route more than Almost less half using